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` �CHECK OFF i�IST FOR ISSUANCE OF �'E�2MITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: Zo3z s t-�� <br /> PID: <br /> DESCR�'I'ION OF WORK: ' � <br /> ------------------- -------- --- -------------------------- ----------- <br /> ZONNG REVIE�V BY: DATE APPROVED: S3-z-S-�� <br /> SLTII,DII�IG REVIE�V BY: DATE APPROVED: �S-2�=� � <br /> F'EES TO BE C�IARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes � No SE`'�TER CONNEC'ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No ✓� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYIi�TG CH�CK LIST Zaning Districr. L(/v C1�4�►Q . <br /> Firc Deparcment: Post Office: School Disuict: � � <br /> Lot Area: Sq.ft. Acres � Widch Depth <br /> Survey Submitted:� Yes�_ No Date of Survey: �n< <=t t,.e <br /> Proposed Setbacks: . . <br /> Front(Lake): Ri�t Si e: , <br /> Rear(Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Buildin;Height: Def, Hgt. Peak Hgt. _ <br /> Lot Coveraae: <br /> Gradino: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Date: BY� <br /> ZoainJ File: !# Resolutioa: # Resolutioa Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: I.ot Covera;e: <br /> Eusting Proposed <br /> Hardcover: Q-75' <br /> 75-250' <br /> 2�0-540' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace oE Council Appr�val: <br /> �E��LARKS (in house): (L.c�sve cK��nn+�y -• ,; �,,•1�co �.�� �r-�-� !j�,1�..�..s <br /> ND ��vGt�s�LN �-�+`1,2Dl.d�'1 �-t�c.�'�t9 .� s .4 ivo.v �=YVCrt.p/� <br /> .��e,... � - 1�{oS �`� <br />